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U.S. Underwriters Insurance v. Klimashevsky

Citation: 21 F. App'x 47Docket: No. 00-9202

Court: Court of Appeals for the Second Circuit; October 11, 2001; Federal Appellate Court

Narrative Opinion Summary

The case concerns a liability insurance claim following an accident at a construction site involving Aerostil USA Co., with U.S. Underwriters Insurance Co. providing coverage. The injury occurred in August 1998, but Underwriters was not notified until February 1999 due to a communication delay. Underwriters claimed the notification was improper until March 1999 and reserved the right to disclaim coverage due to late notification. The District Court found that while the Klimashevskys failed to notify Underwriters timely, the insurer was bound by New York Insurance Law § 3420(d) to issue a disclaimer promptly. The Court ruled that the May 1999 letter, which reserved the right to disclaim, did not constitute an actual disclaimer, and the August 1999 disclaimer was unreasonably delayed. Underwriters' argument that the Klimashevskys could not seek summary judgment was negated by their prior consent to the cross-motion. The Court affirmed the decision, granting summary judgment for the Klimashevskys, holding Underwriters to an unreasonable delay in disclaimer without justification, thus affirming the District Court's judgment.

Legal Issues Addressed

Effect of Insurer's Delay in Disclaiming Coverage

Application: A delayed disclaimer of coverage by the insurer, without reasonable justification, is considered legally unreasonable.

Reasoning: The Court concluded that, due to the lack of explanation for the delay and the nature of the communications, Underwriters’ disclaimer was legally unreasonable.

Obligations of Insurer for Communication of Disclaimer

Application: The insurer is required to communicate the disclaimer to the appropriate parties, including the insured or their attorney, in a timely and proper manner.

Reasoning: The Court determined that the May 1999 letter should have been directed to the Klimashevskys’ attorney and should have been based on Vladimir Klimashevsky's failure to provide timely notice, rather than Aerostil's.

Timely Disclaimer under New York Insurance Law § 3420(d)

Application: The insurer must issue a disclaimer as soon as reasonably possible, regardless of the insured's failure to provide timely notice.

Reasoning: While the Klimashevskys acknowledged their own failure to timely notify Underwriters, the Court held that the insurer also has an obligation to provide timely notice of disclaimer, regardless of the insured’s actions. Under New York Insurance Law § 3420(d), a disclaimer must be issued as soon as reasonably possible.

Waiver of Arguments by Consent

Application: An insurer cannot contest an issue that it previously consented to during the legal proceedings.

Reasoning: Underwriters argued that the Klimashevskys could not seek summary judgment for the untimeliness of Underwriters’ disclaimer since they did not assert it as an affirmative defense. However, Underwriters had previously consented to the Klimashevskys’ cross-motion on this issue, as evidenced by a letter from the Klimashevskys’ counsel dated March 31, 2000, which Underwriters did not contest.